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General NPI Number Information
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NPI Number | 1720415755
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Entity Type | Organization
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Legal Business Name | PEACE HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 1415 S HAMILTON RD STE C1
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City | COLUMBUS
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State | OH
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Zip | 43227-1343
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Country | US
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Telephone | 614-732-5077
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 S HAMILTON RD STE C1
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City | COLUMBUS
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State | OH
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Zip | 43227-1343
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Country | US
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Telephone | 614-732-5077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AHMED ADAN
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Credential |
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Telephone | 614-596-6921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0067739
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License Number State | OH
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